ROLE CAPTIVITY, DAILY SOCIAL ISOLATION, AND THE MENTAL HEALTH OF DEMENTIA CAREGIVERS

Abstract Family members providing informal care to individuals living with Alzheimer’s disease and related dementias (ADRDs) have an increased risk of poor mental and cognitive health. Social connection has been proposed as an intervention target to support the health and well-being of ADRD caregivers; however, little is known about daily variation in social connection, contextual factors that impact social connection, and its association with caregiver mental health experiences. Thus, the purpose of this study was to examine the relationship between role captivity and daily social isolation (i.e., lack of social connection) among dementia caregivers, as well as associations between social isolation and depression and anxiety-related symptoms. A sample of community-dwelling ADRD caregivers (N=30) completed a baseline survey followed by 14 days of daily diaries (n=323 data points). Participants were asked about role captivity, social isolation, and daily depression and anxiety-related symptoms. Data were analyzed using mixed-level modeling. Role captivity reported at baseline was significantly associated with daily social isolation (B=0.82, 95% CI [0.68, 0.96], p <0.001). Further, daily social isolation was significantly associated with both depression (B=0.69, 95% CI [0.61, 0.77], p <0.001) and anxiety (B=0.55, 95% CI [0.48, 0.62], p <0.001) related symptoms reported on a given day. The findings from this study contribute knowledge on ecologically valid interventions that target daily experiences of social isolation and support the mental health of dementia caregivers. Such interventions are critically important given the proposed links between mental health, social isolation, and cognitive health in later life.

our understanding of a possible mechanism by which religious service attendance and religiosity/spirituality influence cognitive health through reduced systemic inflammation.Interventions are needed to sustain religious attendance supporting religiosity/spirituality for adults who find religion/ spirituality important, with the potential to reduce the risk of cognitive decline and dementia.Support exchanges are crucial to older adults' well-being.Functionalist and identity theories suggest that individuals engage in support exchanges with social ties that are consistent with their identities/roles to maximize their well-being.This study examined support exchanges with friends in daily life and tested the link between support exchanges with friends and daily well-being, particularly how this link varied between married and unmarried older adults.Adults aged 65+ (N = 292, Mean age = 73.72,60% married) provided information about their demographics and social partners.Across five days, they completed surveys about support exchanges with friends (i.e., receiving or giving advice, practical support, and emotional support, respectively) and daily life satisfaction at the end of each day.Multilevel logistic models revealed that unmarried older adults were more likely to receive all types of support from friends and also more likely to provide advice and emotional support (non-tangible support) to friends than married older adults.Support provision was unrelated to life satisfaction.On days when older adults received advice from friends, they reported increased life satisfaction than on days that they did not (within-person association).This within-person association was stronger among unmarried than married older adults.Patterns of findings remained unchanged after adjusting for support exchanges with other social ties.Findings highlight the role of marital status in older adults' daily support exchanges.Unmarried older adults may compensate for the lack of a spouse with friends and are more reactive to daily support exchanges than married older adults.
Abstract citation ID: igad104.1505Family members providing informal care to individuals living with Alzheimer's disease and related dementias (ADRDs) have an increased risk of poor mental and cognitive health.Social connection has been proposed as an intervention target to support the health and well-being of ADRD caregivers; however, little is known about daily variation in social connection, contextual factors that impact social connection, and its association with caregiver mental health experiences.Thus, the purpose of this study was to examine the relationship between role captivity and daily social isolation (i.e., lack of social connection) among dementia caregivers, as well as associations between social isolation and depression and anxietyrelated symptoms.A sample of community-dwelling ADRD caregivers (N=30) completed a baseline survey followed by 14 days of daily diaries (n=323 data points).Participants were asked about role captivity, social isolation, and daily depression and anxiety-related symptoms.Data were analyzed using mixed-level modeling.Role captivity reported at baseline was significantly associated with daily social isolation (B=0.82,95% CI [0.68, 0.96], p <0.001).Further, daily social isolation was significantly associated with both depression (B=0.69,95% CI [0.61, 0.77], p <0.001) and anxiety (B=0.55,95% CI [0.48, 0.62], p <0.001) related symptoms reported on a given day.The findings from this study contribute knowledge on ecologically valid interventions that target daily experiences of social isolation and support the mental health of dementia caregivers.Such interventions are critically important given the proposed links between mental health, social isolation, and cognitive health in later life.

RESEARCH TO STRENGTHEN, INNOVATE, AND TRANSFORM AGE-FRIENDLY COMMUNITY PRACTICE Chair: Kathy Black
There is much research being conducted to better understand and advance age-friendly community practice.This symposium presents research from leading age-friendly researchers and practitioners across the United States.Drs.Black and Oh provide an analysis of the nation's sectoral efforts based on progress reported by the age-friendly communities.Drs.Hernandez and Coyle will describe the research and community engagement that led to the development of an aging equity conceptual framework and examples of how it is being operationalized in the City of Boston.Drs.Greenfield and doctoral student Pope will present on a scoping review of studies in the U.S. and Canada on the range of ways in which the public sector participates in agefriendly community efforts.Drs.Coyle and Oh and doctoral students Gleason and Somerville present on a study that explored factors inhibiting communities from officially joining the age-friendly network.Dr. Perry reports on efforts to elevate the voice of older adults on social justice issues pertaining to aging in place in the domain of housing.Individual abstracts provide further detail on each study's methods and findings.

EXPLORING SECTORAL REACH IN AGE-FRIENDLY COMMUNITIES
Kathy Black 1 , and Patricia Oh 2 , 1. University of South Florida,Sarasota-Manatee, Sarasota, Florida, United States, 2. UMaine Center on Aging, Bangor, Maine, United States There is increasing interest in better understanding the sectoral reach of age-friendly community practice.Action across a wide variety of actors is central to achieving age-friendly societal change according to the World Health Organization and an explicit goal for governmental participation in its Global Network of Age-Friendly Cities and Communities.However, there is limited knowledge regarding the scope of sectoral reach by age-friendly communities.We used qualitative inquiry to assess sectoral efforts reported by American age-friendly communities that completed a five-year cycle of participation (n=40).We employed directed content analysis using a priori indicators by sectoral actors: public (i.e., government), private (i.e., business), and civil society including nonprofit organizations and volunteers.We classify sectoral actions by type (i.e., intersectoral, multisectoral) and by clustered domain community foci (i.e., built, social, service).Our study identifies the extent and types of sectoral actors and actions reported by age-friendly communities with the greatest efforts reported in the public sector, and while similarly distributed across all the domains, slightly more efforts were noted in the built environment.We also found greater intersectoral efforts (i.e., explicitly working towards shared goals) than multisectoral (i.e., not necessarily in collaboration on shared goals), particularly across government.While our study substantiates the breadth of actions towards age-friendly change, additional research is needed to examine the ways in which the public and other sectoral actions are further linked to outcomes in communities in the United States and in other countries.

PUBLIC SECTOR INVOLVEMENT IN AGE-FRIENDLY CITIES AND COMMUNITIES: A SCOPING REVIEW
Emily Greenfield 1 , Natalie Pope 2 , Laura Keyes 3 , and Elizabeth Russell 4 , 1. Rutgers, The State University of New Jersey, New Brunswick, New Jersey, United States,2. Rutgers Social Work,New Brunswick,New Jersey,United States,3. University of North Texas,Denton,Texas,United States,4. Trent University,Peterborough,Ontario,Canada The global age-friendly cities and communities (AFCC) movement has long centered the involvement of the public sector, calling on high-ranking authorities to commit to improving the built, social, and service environments of their localities.However, there is little understanding of how the public sector is involved in actual practice.To address this gap, we conducted a scoping review of peer-reviewed articles published since 2010, with a focus on studies in Canada and the United States, to synthesize the evidence on the ways in which the public sector has been involved with AFCC work.Our review identified four primary themes.The first theme describes the variety across studies in descriptions of the overall positioning of the public sector in AFCC efforts, with public sector actors ranging from leaders to partners to targets for advocacy.The second theme addresses activities that are initiated by a public administration that targets age-friendly improvements for that administration.The third theme encompasses activities that help to connect a public administration with, as well as influence, outside actors, primarily the private sector and government administrations at other systems levels.The final theme elucidates the various ways in which the public sector is involved with AFCC Frank Puga 1 , Danny Wang 2 , Natashia Bibriescas 3 , Abigail Poe 1 , Loreli Alvarez 4 , Rita Jablonski 1 , and David Vance 1 , 1. University of Alabama at Birmingham, Birmingham, Alabama, United States, 2. The Pennsylvania State University, University Park, Pennsylvania, United States, 3. University of Texas at Austin, Austin, Texas, United States, 4. The University of Alabama at Birmingham, Birmingham, Alabama, United States